Organization
COOS EYE CENTERS, INC.
Active
Parent organization
COOS EYE CENTERS, INC
Other names
Eye Center of Gold Beach
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOS EYE CENTERS, INC
Authorized official
DR. NICOLE RUSH OD (OWNER)
(541) 396-4042
Entity
Organization
Contact information
Practice address
94225 4TH ST, GOLD BEACH, OR 97444-7756
(541) 247-7212
(541) 247-0490
Mailing address
PO BOX 1108, GOLD BEACH, OR 97444-1108
(541) 247-7212
(541) 247-0490
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130276
—
OR
Enumeration date
06/24/2022
Last updated
06/24/2022
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